The patterns of toxicity and management of acute nonsteroidal anti-inflammatory drug (NSAID) overdose

Laura J Hunter, David M Wood, Paul I DarganClinical Toxicology, Guy’s and St Thomas’ NHS Foundation Trust, London, UKAbstract: The nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used for their analgesic, anti-inflammatory and antipyretic actions. They are common...

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Main Authors: Hunter L, Wood DM, Dargan PI
Format: Article
Language:English
Published: Dove Medical Press 2011-07-01
Series:Open Access Emergency Medicine
Online Access:http://www.dovepress.com/the-patterns-of-toxicity-and-management-of-acute-nonsteroidal-anti-inf-a7818
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author Hunter L
Wood DM
Dargan PI
author_facet Hunter L
Wood DM
Dargan PI
author_sort Hunter L
collection DOAJ
description Laura J Hunter, David M Wood, Paul I DarganClinical Toxicology, Guy’s and St Thomas’ NHS Foundation Trust, London, UKAbstract: The nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used for their analgesic, anti-inflammatory and antipyretic actions. They are commonly taken in overdose in many areas of the world. The majority of patients with acute NSAID overdose will remain asymptomatic or develop minor self-limiting gastrointestinal symptoms. However, serious clinical sequelae have been reported in patients with acute NSAID overdose and these include convulsions, metabolic acidosis, coma and acute renal failure. There appear to be some differences between the NSAIDs in terms of the relative risk of these complications; in particular mefenamic acid is most commonly associated with convulsions. The management of these serious clinical features is largely supportive and there are no specific antidotes for acute NSAID toxicity.Keywords: nonsteroidal anti-inflammatory drugs (NSAID), ibuprofen, toxicity, poisoning, overdose, management
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spelling doaj.art-fae3d2e6af504ccab2a67e1a5346c9042022-12-21T17:45:09ZengDove Medical PressOpen Access Emergency Medicine1179-15002011-07-012011default3948The patterns of toxicity and management of acute nonsteroidal anti-inflammatory drug (NSAID) overdoseHunter LWood DMDargan PILaura J Hunter, David M Wood, Paul I DarganClinical Toxicology, Guy’s and St Thomas’ NHS Foundation Trust, London, UKAbstract: The nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used for their analgesic, anti-inflammatory and antipyretic actions. They are commonly taken in overdose in many areas of the world. The majority of patients with acute NSAID overdose will remain asymptomatic or develop minor self-limiting gastrointestinal symptoms. However, serious clinical sequelae have been reported in patients with acute NSAID overdose and these include convulsions, metabolic acidosis, coma and acute renal failure. There appear to be some differences between the NSAIDs in terms of the relative risk of these complications; in particular mefenamic acid is most commonly associated with convulsions. The management of these serious clinical features is largely supportive and there are no specific antidotes for acute NSAID toxicity.Keywords: nonsteroidal anti-inflammatory drugs (NSAID), ibuprofen, toxicity, poisoning, overdose, managementhttp://www.dovepress.com/the-patterns-of-toxicity-and-management-of-acute-nonsteroidal-anti-inf-a7818
spellingShingle Hunter L
Wood DM
Dargan PI
The patterns of toxicity and management of acute nonsteroidal anti-inflammatory drug (NSAID) overdose
Open Access Emergency Medicine
title The patterns of toxicity and management of acute nonsteroidal anti-inflammatory drug (NSAID) overdose
title_full The patterns of toxicity and management of acute nonsteroidal anti-inflammatory drug (NSAID) overdose
title_fullStr The patterns of toxicity and management of acute nonsteroidal anti-inflammatory drug (NSAID) overdose
title_full_unstemmed The patterns of toxicity and management of acute nonsteroidal anti-inflammatory drug (NSAID) overdose
title_short The patterns of toxicity and management of acute nonsteroidal anti-inflammatory drug (NSAID) overdose
title_sort patterns of toxicity and management of acute nonsteroidal anti inflammatory drug nsaid overdose
url http://www.dovepress.com/the-patterns-of-toxicity-and-management-of-acute-nonsteroidal-anti-inf-a7818
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